Healthcare Provider Details

I. General information

NPI: 1124973672
Provider Name (Legal Business Name): PENNSYLVANIA PSYCHIATRIC WELLNESS SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 N ARCH ST STE 11
LANCASTER PA
17603-3599
US

IV. Provider business mailing address

226 N ARCH ST STE 11
LANCASTER PA
17603-3599
US

V. Phone/Fax

Practice location:
  • Phone: 717-742-0789
  • Fax: 717-927-0303
Mailing address:
  • Phone: 717-742-0789
  • Fax: 717-927-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICOLE M SCHWARTZ
Title or Position: OWNER
Credential: MSN, CRNP, MSW, LSW
Phone: 267-205-5612